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The challenge of managing diabetes:Diabetes Management and Training Centers, Inc:"The professionals as Diabetes Management and Training Centers, Inc. (DMTC) want to team up with you to change that rather dismal statistic. Whether you are a person with diabetes or a health professional working in the field, DMTC has a program to meet your needs. Clinical skills and the latest tools and medicines are important and at DMTC we teach and use the best. But successful diabetes management demands more than clinical skill and information. That is why we always teach clinical topics within a system of care shown to improve medical, financial, and quality of life outcomes. Our unique, practical and compelling programs recognize that diabetes is not a set of facts to be memorized or a list of rules to be followed. It is a lived experience. Come experience the best of today's patient-centered diabetes management and education at DMTC." http://www.diabetestraining.com/ The ABCs of Daily Management:childrenwithdiabetes:"Acceptance There will be many times when a child with diabetes feels different. Help the child fit diabetes self management into his or her life. You are in a position to influence the child's self-esteem and attitude. Blood Glucose Monitoring (SMBG) Most children with diabetes check their blood sugars 3 to 4 times per day before meals and bedtime snack). Some do not test before lunch at school. This should be a family decision in conjunction with the diabetes team. Usual targets for blood sugars are: 75% or more readings between 70 and 150 mg/dl. However, individual targets are often set for each child. It is important to consult with parents and possibly the child's diabetes team to determine what appropriate targets are for that child. Exercise Children with diabetes should participate fully in any exercise program or activity. They may need to eat an extra snack before or during exercise. Discuss appropriate snacks with parents" http://www.childrenwithdiab etes.com/d_0q_580.htm Managing Diabetes and Regulating Insulin::"Or perhaps you've been diagnosed with gestational diabetes. The glucose tolerance test they had you take shows your body isn't able to keep up with its increased insulin demands now that you're pregnant. How will you be able to learn everything you need to know quickly? Don't let fear keep you from learning how best to manage the disease. Some of the tasks may seem daunting and the information may seem overwhelming, but you'll be surprised how quickly it all becomes second nature. Knowledge is the key to taking control of your condition rather than letting it take control of you." http://www.regulating-insulin.com/ Diabesity Management:d-care.com:"Diabesity refers to the conditions of diabetes and obesity, because one is so commonly linked with the other. The chance of developing Type II diabetes is dramatically increased in individuals who are overweight or obese. If weight control is a significant issue for you, do not feel alone-54% of the nation's population is overweight or obese. The problem is in the fat-literally. Health researchers have discovered that excessive body fat can interfere with normal blood sugar levels, causing insulin resistance -- a condition that commonly exists in Type II diabetic individuals. Reducing body fat can help control the onset of diabetes by allowing insulin to work efficiently, controlling blood sugar levels without the disruptions from large amounts of fatty acids." http://www.d-care.com/diabesity/i ndex.html Obstetrica l Diabetes Management:matria.com:"Matria´s Obstetrical Diabetes Management program supports intensive physician management of patients with gestational or pregestational diabetes. The program is designed to ensure patient compliance with the prescribed plan of care and reduce acute diabetes-related complications during pregnancy. It is comprised of three distinct levels of service delivered through a national network of specialized obstetrical registered nurses and certified diabetes educators. Our Standard Program combines consultation, assessment, data collection, delivery of supplies and clinical services, and reporting. More intensive levels of service include our Standard Program plus daily insulin injections or continuous subcutaneous insulin infusion" http://www .matria.com/learn/womens_health/index.cfm?pid=lm_wh_odm Diabetes managment resources:St. Francis hospitol and health center:"Be good to yourself! That's especially important if you have diabetes and must abide by a strict regimen of exercise, prescribed medication and a well-regulated diet to help you lead a healthy, productive life. Learn self-care through our free Diabetes Management Program, a single-session class taught by a registered nurse, pharmacist and dietitian. Topics discussed include: Types of diabetes. Signs and symptoms of high and low blood sugar. Maintaining good health. Oral hypoglycemic agents and insulin. Coping with acute complications. Blood glucose self-monitoring. Food choices and eating out. Click here to see the schedule of our Diabetic Classes, or call 708-385-4433, to register for any of the classes..." http://www.stfrancisblueisland .com/internet/home/stfrancisblueisland.nsf/Documents/000DD72A66075E0186256AEA005C25 CF?OpenDocument Overview of diabetes management:medstarhealth.org:"The symptoms of diabetes are often ignored because they seldom lead to a doctor visit. They include increased thirst, frequent urination, increased appetite, unexplained weight loss, fatigue, skin infections, slow-healing wounds, blurred vision or tingling in the hands or feet. A blood test can accurately diagnose diabetes, but there is no way to prevent the disease. Making lifestyle changes to manage diabetes is very important because the disease can lead to a host of problems. These include amputation of feet with nerve damage caused by a lack of blood flow; kidney problems; and loss of vision." http://www.medstarhea lth.org/medicalmatters/week20.cfm Exercise in Diabetes Management:The Physician and sports medicine:"In Brief: Exercise is a recommended component of diabetes management. In both type 1 and type 2 diabetes mellitus, exercise can increase insulin sensitivity, lower blood glucose, and have positive psychological effects. More markedly in type 2 than in type 1, regular physical activity improves glycemic control, reduces hypertension, and normalizes lipids. Adjustments in insulin dosage, careful blood glucose monitoring, and attention to diet around the time of exercise will help prevent hypoglycemia and hyperglycemia, which are common hazards of exercise in type 1 diabetes. Special precautions are necessary for those who have diabetic complications such as retinopathy or peripheral neuropathy." http://www.physspor tsmed.com/issues/1999/04_99/white.htm Alternative Approaches to Diabetes Management:healthtalk.com:"Summary: 83 million Americans visit alternative doctors each year, and spend over 27 billion dollars on alternative therapies. Could there be an alternative approach to diabetes as well? Hear from Joe Pizzorno, a doctor of naturopathy and founding president of Bastyr University, one of the leading centers for natural medicine in the world, as he discusses diabetes and alternative medicine. What are some promising approaches? What should you watch out for? What should your tell your "Western" style medical doctor?" http://www.healthtalk.com/dtalk/e dition20/ Helping children develop positive approaches to diabetes management:bartoncenter.org:"Conducted four times daily and whenever necessary, alongside peers and closely supervised by staff, or by parents at weekend programs. Insulin Administration- Nurses and counselors assist campers in small groups. It is not uncommon for the campers to take insulin alongside a counselor...who is also taking insulin! They teach them the proper method for drawing up and injecting insulin. When seeing their peers inject their own insulin our younger campers are often inspired to do so as well. However, those who rely on an adult for assistance still get support from a staff member or nurse." http://www.bartoncenter.org/diabete s.htm Search Nursing Diabetics http://www.nursingdiabetics.com/A-Z_list/ ******************************************************
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